HomeMy Public PortalAbout9471 OLEMA ST_Plumbing__ 76AG67 (CE-817) - 1/7S
APPLICATION FO PLUM NG PERMIT
�.
• COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
-NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 2.00 OWNER S
MAIL /
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2.00 CONTRACTOR CI c
SINK 2.00 ADDRESS
DISHWASHER'. 2.00 CITY - L--NO,
CLOTHES WASHER 2.00 STATE LIC
LICENSE NO.p2 .573 CLASS • C 136
SWIMMING POOL RECEPTOR 2.00•
DISTRICT NO.GROUP. NE PRO ESSE BY
LAWN SPRINKLER SYSTEM 2,00 OB
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL
' GAS SYSTEM I OUTLETS 2.00 ®Q INSPECTION RECORD a}
OUTLETS OVER
5 PER SYSTEM .30 v
O
U
W
CL
. - rn
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S 91GNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST 'y(� 'o�j✓76 C
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOSMENTIA
Y AND STATE OF
CALIFORNIA OR THAT I AM /THE . XN6 I_RTEND TO
RESIDE IN THE ABOVE DES RILED OPER Y. f
�I/Je// FINAL
SIGNATU RE
OF PERMI,�EE
PERMIT VALIDATIONCK. M,O: CASH
PLAN-CHECK VALIDATION Mof"'M'.O. iXCASH
7 1 04AY . •5 5 D 7.5 0 e�
d _
76AG67-CE#617 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS / 0
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALMY ' a
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.NUMBER FUgrURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL
BATH'TUB 1.25 ADDRESS
SHOWER 1.25ot
CITY I TEL. NO
LAVATORY 1,25 CONTRAII&N.
Apow
SINS 1,25 ADDRESSor
DISHWASHER 1.25 CITY TEL.NO X�����
LAUNDRY TUB 1.25 R GISTRA S NO. CSTATE
Y El
CLOTHES WASHER 1.25 DISTRICT O G P O S E Y ...
WATER HEATER 1.50 0 C(/
GAS SYSTEM' OUTLETS
1.50 TR
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION.RECORD V
O'
- V
W
d
N
- Z
APPROVALS DATE^ INSPECTOR'S SIGNATURE
PERMIT $ I UNDER SLAB WORK /r
y ROUGH PLUMBINGTOTAL FEE GAS'PIPING1 HEREBY' ACKNOWLEDGE THAT I HAVE READ THIS NAND STATE.THAT THE ABOVE IB CORRECT AND.AGREE Y GASVENTWITH ALL COUNTY ORDINANCES AND STATE LAWS HOT WATER HEATERPLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERR PLUMBING FIXTURESLICENSED AS REQUIRED BY LOS ANGELES COUNTY ANF AS TESTCALIFORNIA OR THAT i AM T ELE WNER OF.ANDRESIDE IN,'THE ABOVE DESC EDNTIPROPERTYUTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE ��
FINAL
VALIDATION-—) ROBERT A.WOOD
CK. M.O.s CnsH SUPERVISING MECHANICAL ENG'R
LI;60 7 015 4-Z DEC 2'2 5 D 3.55 0cq
76A667 (CE417)-4/712 ••,�/'r nAK����
APPLICATION FOR PLUMBING PERMIT
COUNTY OF,L69 ANGELES. -
DEPARTMENT OMOUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ,��
MAKE CHECKS PAYABLE TO: ADDRESS 7 L,.DG
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST �� U
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE d
-WATER CLOSET 1.75 OWNER'
MAIL
�
BATH TUB 1.75 ADDRESS
r
SHOWER 1.75 / 7T
CITY TEL. NO.
LAVATORY 1.75 / jr CONTRACTOR 0 Cl A.,A6 �G6�
SINK 1.75 ADDRESS 4�?2-z5 1,V
DISHWASHER 1.75 CITY Cl TEL. NO '0266
CLOTHES WASHER 1.75 STATE LIC LICENSE N'O. �7�/ C'L'ASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ANE CESSEELBY
LAWN SPRINKLER SYSTEM 1.75 `o �1
y WATER HEATER 1.75 pp��
/ / WASTETAPPROVAL
OAS SYSTEM OUTLETS 1.75INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30
• z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK .��� * p�j
Name ROUGH PLUMBING
Address. _ GAS.PIPING
City Tel; No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. _ ► ,s� ,f
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICCAL:NSED AS FORNIA OR THAT EDAM THE LEGBY LOS GELOWNE ES COUNTY
AND INTEND AND STATE OF
- f Cyt P
REST DE IN THE ABOVE DESCRIBED RE ENTI w PROPER FINAL '
SIGNATURE `�,//
OF PERMITTEEI�N
AERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION K. M.O. CASH
"'2:3 5 D 13.50A98
d